738 results
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Approach: ACE, ARB, ARNI ... -2 Inhibitor → ARNI ... Heart #Failure #CHF
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
• ACE, ARB, ARNI ... Heart #Failure #CHF
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI ... #medications #chf
Guidelines Directed medical therapy for Heart Failure 

Satyendra Dhar, MD, @DharSaty

#HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
angiotensinreceptorblockers #ARB #ARNI ... #PARADIGM-HF #EMPEROR-Reduced
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
disease/cirrhosis, CHF ... #PhysicalExam #Clinical ... #Photo #Sign
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
Task Force on Clinical ... HeartFailure #Management #CHF ... treatment #algorithm #sCHF
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... 81% for acute HF ... 5 pts w/ acute HF ... Inhibitors and ARBs • ARNIs ... #pharmacology #sCHF
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
for diagnosis of CHF ... #PhysicalExam #Clinical
Osler's Nodes: Painful, erythematous nodules associated with bacterial endocarditis. 
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
Photo credit, Josh ... UCSD Catalog of Clinical ... Images #Clinical ... #Photo #Dermatology
Selected Clinical Trials of SGLT2 inhibitors in CVD and CKD
EMPA-REG OUTCOME - Empagliflozin lowered CV events
Selected Clinical ... for SGLT2i in HF ... for SGLT2i in HF ... lowered CV death or HHF ... improved HF outcomes